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ARA-FALL RIVER DIALYSIS LLC NPI 1235232133


NPI Information

NPI: 1235232133
Provider Name: ARA-FALL RIVER DIALYSIS LLC

Doing Business As: DIALYSIS CENTER OF FALL RIVER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
221 WEAVER ST
UNITS 5 & 6
FALL RIVER, MA
ZIP 02720
Phone: (508) 676-0112
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ARA-FALL RIVER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fall River, MA. ARA-FALL RIVER DIALYSIS LLC NPI is 1235232133. The provider is registered as an organization entity type.
The provider Is Doing Business As Dialysis Center Of Fall River.

The provider's business location address is:

221 WEAVER ST
UNITS 5 & 6
FALL RIVER, MA
ZIP 02720-345
Phone: (508) 676-0112
Fax: (508) 676-0113

The provider's authorized official is Jonathan Wilcox .
The authorized official title is Cfo and has the following contact phone number (978) 922-3080.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 3/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11301195MEDICAIDMASSACHUSETTS
2222566MEDICARE OSCAR/CERTIFICATION
3FR58353MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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